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The risk of bias was assessed by the Newcastle Ottawa Scale (NOS) checklist. Summary odds ratios (ORs) and 95% confidence intervals (CIs) were calculated to evaluate the correlation between screen time exposure and myopia using random or fixed-effect models by exposure type (categorical\/continuous). We also performed subgroup analysis by screen device type, study quality, geographic region, and research period.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We searched 7,571 records from three databases and identified 19 eligible studies, including 14 high-quality studies and 5 moderate-quality studies. Meta-analyses suggested that there was a statistically significant correlation between screen time (high vs. low) and myopia. The pooled ORs with 95%CIs were respectively 2.24 (1.47\u20133.42) for cross-sectional studies, and 2.39 (2.07\u20132.76) for cohort studies. We also found a significant association between continuous exposure to screen time (per 1\u00a0h\/d increase) and myopia in cohort studies. The pooled ORs with 95%CIs were 1.07 (1.01\u20131.13). In subgroup analysis stratified by screen device type in cross-sectional studies, screen time exposures from computers (categorical: OR\u2009=\u20098.19, 95%CI: 4.78\u201314.04; continuous: OR\u2009=\u20091.22, 95%CI: 1.10\u20131.35) and televisions (categorical: OR\u2009=\u20091.46, 95%CI: 1.02\u20132.10) were associated with myopia, while smartphones were not. Although publication bias was detected, the pooled results did not show significant changes after adjustment using the trim and fill method.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Our findings support that screen time exposure was significantly associated with myopia in children and adolescents. Notably, screen time exposure from computers may have the most significant impact on myopia.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12889-024-19113-5","type":"journal-article","created":{"date-parts":[[2024,6,18]],"date-time":"2024-06-18T11:04:05Z","timestamp":1718708645000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":74,"title":["The association between screen time exposure and myopia in children and adolescents: a meta-analysis"],"prefix":"10.1186","volume":"24","author":[{"given":"Zhiqiang","family":"Zong","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yaxin","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jianchao","family":"Qiao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuan","family":"Tian","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shaojun","family":"Xu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,6,18]]},"reference":[{"issue":"9827","key":"19113_CR1","doi-asserted-by":"publisher","first-page":"1739","DOI":"10.1016\/S0140-6736(12)60272-4","volume":"379","author":"IG Morgan","year":"2012","unstructured":"Morgan IG, Ohno-Matsui K, Saw SM. 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